Report of the Royal Commission on National Health Insurance

Report on the trade in refrigerated beef, mutton and lamb

Bibliographic data

Monograph

Identifikator:: 1740277147

URN:: urn:nbn:de:zbw-retromon-132094

Document type:: Monograph

Title:: Report of the Royal Commission on National Health Insurance

Place of publication:: London

Publisher:: Stationery Office

Year of publication:: 1926

Scope:: XII, 394 S.

Digitisation:: 2020

Collection:: Economics Books

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Document type:: Monograph

Structure type:: Chapter

Title:: Chapter XIII. Miscellaneous questions

Collection:: Economics Books

MAJORITY REPORT. 30 1926, when they will be replaced by new schemes operating generally until July, 1931. The schemes of the latter group came into force in July, 1925, and will expire in July, 1930. Thus, at the moment there are two sets of schemes in operation, covering different periods, and the terms of the two groups of schemes and the conditions enunciated in their schedules relating to the treatment benefits are not strictly comparable. In the later schemes efforts have been made to remove certain difficulties, and to avoid certain undesirable features which presented themselves in the actual working of the schemes. The details and figures hereinafter referred to are those applicable for the most part to the schemes as in operation in the year 1924. A scheme of additional benefits is contingent on the realisation of a disposable surplus by an Approved Society at one of the periodic valuations of assets and liabilities conducted by the Government valuers. A society which finds itself in this position may frame a scheme of addi- tional benefits to be provided out of the surplus and submit it to the Department for approval. The schemes are applicable to all members of the society of five years standing and are current generally for a period of five years. So far as the scheme provides for an increase in the normal cash benefits, it is administered by the Approved Society as part of its normal work. In the case of those schemes which aim at providing treatment for the members, the arrangements for making payment in respect of the provision of the services covered by the scheme are made by the society either directly or through the agency of some institution or organisation. The member makes his application to the society, and receives his document of title stating the amount which the society will pay in respect of the particular service required. 78. It is important to observe that the additional benefits referred to consist not in the provision of treatment, services or appliances but in payment of the whole or part of their cost, as is indicated in the statutory description of the benefits. Sub- section 5 of Section 75 of the Act provides, that ‘‘ Additional benefits shall be administered by the society or branch . . except that where the benefits are in the nature of medical benefit, they shall be administered by and through the Insur- ance Committee.” Though the construction to be put upon the words ‘‘ where the benefits are in the nature of medical benefit >’ is not free from difficulty, the Departmental view, taken under legal advice, has been that any additional benefit which involves mere payment of money is not an additional benefit in the nature of medical benefit, notwithstanding that the money may go to secure service of a medical nature. 79. Whilst expressing no opinion on this point we think that it is highly desirable that the organisation of services which are

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